Guidewire systems and methods for preventing wire advancement into the body during catheterization
A guidewire and catheter are disclosed which are configured together so that it is not possible to advance the guidewire into the patient where it may be undesirably retained in the patient. The improved safety is achieved by protrusions on each of the guidewire and catheter which coordinate with one another. Novel methods of catheterization are also disclosed.
1. A system for reducing or preventing unintentional advancement of a guidewire during catheterization, comprising
a guidewire with a plurality of guidewire protrusions on an external surface of the guidewire, wherein a main body of the guidewire has a first diameter which is the main body's largest diameter, wherein the guidewire has a second diameter at the longitudinal position of the at least one guidewire protrusion, wherein the second diameter is greater than the first diameter, and wherein the guidewire has the first diameter on both sides of at least one of the plurality of protrusions; and
a catheter with a lumen and at least one catheter protrusion on an internal surface of the catheter,
wherein the first diameter of the guidewire is smaller than all diameters of the lumen of the catheter,
wherein the plurality of guidewire protrusions of the guidewire and the at least one catheter protrusion of the catheter are configured to cooperate with one another such that (i) the catheter protrusion is moveable past a guidewire protrusion of the plurality of guidewire protrusions in a first direction and (ii) the at least one catheter protrusion is immoveable past the guidewire protrusion in a second direction, wherein the first and second directions are opposite one another,
wherein the guidewire has the plurality of guidewire protrusions arranged at different longitudinal locations.
2. The system of claim 1 ,
wherein the guidewire has a first cross-sectional size at a guidewire protrusion of the plurality of guidewire protrusions,
wherein the lumen has a second cross-sectional size at the at least one catheter protrusion, and
wherein the first cross-sectional size is greater than the second cross-sectional size.
3. The system of claim 1 , wherein:
at least one guidewire protrusion of the plurality of guidewire protrusions is nondeformable; and
a body of the catheter and/or the at least one catheter protrusion is deformable.
4. The system of claim 1 , wherein the at least one catheter protrusion is configured with variable stiffness such that deformation in one direction requires less force than deformation in another direction.
5. The system of claim 1 , wherein a guidewire protrusion of the plurality of guidewire protrusions is at a proximal end of the guide wire and wherein the at least one catheter protrusion is at a distal end of the catheter.
6. The system of claim 1 , wherein the guidewire and catheter are coaxial such that they have a common longitudinal center axis, the first and second directions lie along the longitudinal center axis, the first direction is along the center axis toward a distal end of the guidewire, and the second direction is along the center axis toward a proximal end of the guidewire.
7. The system of claim 1 , wherein the catheter has a plurality of protrusions.
8. The system of claim 7 , wherein at least some of the plurality of protrusions are arranged at a single longitudinal location.
9. The system of claim 1 , wherein:
at least one guidewire protrusion of the plurality of guidewire protrusions is nearer a proximal end of the guidewire than a distal end of the guidewire in a state of use during catheterization; and
the at least one catheter protrusion is nearer a distal end of the catheter than a proximal end of the catheter in a state of use during catheterization.